Shauni Paulson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

218 McKinley St
Wharton, WV 25208-9608

Phone

(304) 785-4232

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2021.

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1265026686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MCKINLEY ST",
            "city": "WHARTON",
            "state": "WV",
            "postal_code": "252089608",
            "telephone_number": "304-785-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MCKINLEY ST",
            "city": "WHARTON",
            "state": "WV",
            "postal_code": "252089608",
            "telephone_number": "304-785-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "SHAUNI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Ann Holstein, FNP-C
• Hygeia Facilities Foundation Inc
• Eli Jacobs
• Lincoln County Primary Care Center Inc
• Ira A. Morris, M.D.
• Susan Marie Pridemore

• All providers in Wharton, WV
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.